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Licensing details for: 4717

Name: GAITAN, DIANE WENDY

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

11950 Cohasset St
N HOLLYWOOD CA 91605-3104
LOS ANGELES county
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Issuance Date

August 2, 2002

Expiration Date

June 30, 2026

Current Date / Time

November 5, 2025
12:39:14 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART 5152

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6978 Primary Status: Current

Address :
6433 FALLBROOK AVENUE
WEST HILLS CA 91307
LOS ANGELES COUNTY

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RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: VISTA OPTICAL #7218

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6858 Primary Status: Cancelled

Address :
14480 SHERMAN WAY #B2A
VAN NUYS CA 91401
LOS ANGELES COUNTY

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